• All attending convention must pay registration fee.
• Non-Members may join OSLHA prior to convention and use Member rate. See Membership/Insurance Form under "Membership."
• Payment must accompany Pre-Registration Form.  Purchase orders are NOT accepted.  Must have payment to process application.
• No confirmation, Notification of receipt of fees, nor Acceptance into a Short Course will be given before you arrive at the conference. You will receive notification if your request for a short course is denied due to full room capacity.
• Course handouts will be provided by the speakers at convention.  Handouts, submitted to OSLHA by speakers, will be included on the website after Convention for convention registrants only.  Access information will be placed in registration packets.

 *   Please note early fee - Pay discounted fee if Registered before February 6, 2008

**   Member rate for members of the Ohio Academy of Audiology (OAA), or members of adjacent state associations (Indiana, Kentucky, Michigan, Pennsylvania and West Virginia), or members of the Ohio Hearing Aid Dealers Assoc.  Must submit copy of membership card.

***     The Fee for Spouse will allow them to attend all Convention activities including Sessions, Exhibits and Special Events.

Registration
Fee:

Choose One:

OSLHA Members:

Member Registration - by February 6, 2008 * 
$160.00
 
Member Registration - after February 6, 2008
$185.00

Full-Time Student Member - by February 6, 2008 *
$40.00

Full-Time Student Member - after February 6, 2008
$50.00

Consumer / Parent Member
$65.00

OSLHA Non-Members:

Non-Member Registration - by February 6, 2008 *
$240.00

Non-Member Registration - after February 6, 2008
$265.00

Non-Member Full-Time Student - by February 6, 2008 *
$60.00

Non-Member Full-Time Student - after February 6, 2008
$70.00

Non-Member Consumer/Parent
$70.00

Allied Professions (PT, OT, etc.) - before February 8, 2007 *
$160.00

Allied Professions (PT, OT, etc.) - after February 8, 2007
$185.00

Do not check "Spouse" box if you have registered above.  Spouse must complete separate application.  However, please give name of spouse attending with you.

Spouse (not in profession) *** 
$80.00
             
                 Spouse Name:

Short Courses:
No fee

Click Here for Course Descriptions

Select your SC Choices

CEUs Available

Please Note:
There is no additional fee for double mini-seminars, mini-seminars, Panels, Poster Sessions, etc.

(CEUs available on all sessions,  including  Poster Sessions)

Short Course #13 -    FRI, 2:15-5:30 p.m..
Sensory Integration Techniques for Speech-Language Pathologists: An Introduction  by Scott Fox, Erin Hofmann

Short Course #14 -   FRI, 1:45-5:00 p.m.
Individuals with TBI: Recognizing and Treating Cognitive-Communicative Behaviors that Affect Learning by Roberta DePompei

SATURDAY SHORT COURSES:

Short Course #15 -    SAT, 8:45 am-12:00 p.m.
In-Office Hearing Aid Repairs by Michael Phillips

$00.00

Miniseminars:

Please See the Course Listing for MS Session Numbers.

CEUs Provided

 List the Double-Miniseminars, Miniseminars and panels that you most want to attend.  This will help us with room capacities.  This does not guarantee seating availability - first come-first serve basis. List session numbers only.  Example:  MS-3, MS-32, etc.

1. 
2. 
3. 
4. 

SATURDAY MINISEMINAR & COMPUTER LAB CHOICES:

1. 
2. 
3. 
4. 

Caucuses:

Saturday
12:15 - 1:45 p.m.

CEUs Provided

Boxed Lunches
Available for
Purchase


(lunch eaten in Caucus session)

Audiology

Health Care

MRDD

Non Profit

Private Practice

Schools

Supervision
 

Special Events:

Please indicate whether or not you will be attending EACH Special Event

(included in Registration Fee)

YES    NO
Awards Lunch with Keynote Speaker:  No Fee
     Friday 12:00-1:30 p.m.
     Sit Down Ticketed Lunch (Limited Seating-no tickets available on-site)
  I need a Lenten Lunch

YES    NO
President's Reception/Continental Breakfast Scholarship Raffle Drawing and Miscellaneous Raffle Drawing:  No Fee
     Saturday, 7:15-8:30 a.m.
 

Saturday
Boxed
Lunches

for Caucuses

  YES:  Boxed Lunch - Saturday
                    All lunches include: chips, apple, cookie and beverage

         Choose One:        Ham         Turkey       Roast Beef
 

Optional

Disability Assistance:

Additional Fees:

(optional)

CEUs/Contact Hours are available for all sessions, including Caucuses, Poster Sessions and
PRE-Convention Workshops

ASHA CEUs - Processing Fee = $5.00

AAA CEUs - Processing Fee = $5.00

PDCH (Professional Development Contact Hours):  OSLHA Provides Certificate of Attendance/CEUs  - Processing Fee = $5.00

Donation to OSLHA's Scholarship Fund: (fill in amount)
 

PRE-CONVENTION WORKSHOPS: 
Thursday, March 6, 2008 

Cost:  $30 for one, $50 for 2

Check desired sessions:

#1   12:00-3:15 p.m.       Fee:  $30/$50 for 2 (Students Free)
Orofacial Myofunctional Disorders: The Basics for SLPs
by Marsha Lee-White

$

Mastercard

          Bank Card #  (16 digits)
                     
          Expiration Date:    Month/Year

Please do not submit this form if paying by check
or if payment is not included

 Questions?  Contact OSLHA at oslhaoffice@donet.com or 800-866-OSHA.

  DO NOT include me on list to receive speech & hearing related materials from the 2008 Exhibitors who will do a mailing after convention.

 Click "Submit" at end of this form to send Convention Pre-Registration Form to OSLHA Business Office for processing. 
An e-mail confirmation will be sent within 3 working days of receipt. 
If you do not receive a confirmation, please contact the OSLHA office
at oslhaoffice@donet.com or 800-866-OSHA.

Thank You!